FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
CASEYS GENERAL STORES INC [ CASY ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 06/23/2014 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 8,167(1) | I | Voting and tender rights under 401K plan | |||||||
Common Stock | 06/23/2014 | M | 15,000(8) | A | $0 | 69,735 | D | |||
Common Stock | 06/23/2014 | F | 5,000(9) | D | $70.13 | 64,735 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Option - right to buy(2) | $26.92 | 06/25/2010 | 06/25/2017 | Common Stock | 10,000 | 10,000 | D | ||||||||
Restricted stock units(3) | $0(6) | 06/23/2014 | M | 15,000 | (3) | (3) | Common Stock | 15,000 | $0 | 0 | D | ||||
Restricted stock units(4) | $0(6) | (4) | (4) | Common Stock | 5,649 | 5,649 | D | ||||||||
Restricted stock units(5) | $0(6) | (5) | (5) | Common Stock | 3,250 | 3,250 | D | ||||||||
Restricted stock units(7) | $0(6) | (7) | (7) | Common Stock | 3,250 | 3,250 | D |
Explanation of Responses: |
1. Allocated to Mr. Myers' 401K plan account as of April 30, 2014. Does not include any shares allocated by the plan trustee after that date. |
2. Pursuant to terms and conditions of 2000 Stock Option Plan. |
3. Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award vested in full on June 23, 2014. |
4. Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on May 1, 2015. |
5. Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 7, 2016. |
6. Each restricted stock unit represents the right to receive, following vesting, one share of Common Stock. |
7. Pursant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 6, 2017. |
8. Consisting of shares acquired upon vesting of restricted stock units. |
9. Shares withheld for payment of tax liability. |
William J. Noth, by power of attorney dated 6/9/03 | 06/24/2014 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |